The End of My Sheloshim – Well, If I was Jewish

IMG_0359  My husband and best friend, Mason, passed away right before the New Year and today marks the first 30 days that I have lived without him, grieved for him, missed him and experienced the saddest days of my life. 30 emotionally charged, draining, poignant, friends and family filled, challenging, lonely, horrible days.

June 3rd was that day for Sheryl Sandberg, celebrated COO at Facebook, and she wrote a very moving post on her Facebook page about what she has learned from the loss of her husband and her search for meaning in all of it during her first 30 days. I had actually read her post over the summer while my husband was in the hospital, it had been circulating on Facebook and several other outlets and I was moved to tears when I read it. I was carrying on a vigil at my husbands bedside willing him to get better and watching the doctors and nurses like a hawk. I was emotionally drained, but I understood every word she wrote about losing the love of her life and trying to get through it. And at the time I was just so thankful I still had my beloved.

My mother phoned to check in with me over the weekend and mentioned Sheryl as someone who’s writing I should consider, she wasn’t sure what I might be reading or doing to help me get through my grief and she thought I could relate to Mrs. Sandberg. It triggered my memory of her post from the summer.  Thanks mom for thinking to mention her; I can relate very well to much of what she has written; in particular this passage struck a cord when I read it again:

“I can’t even express the gratitude I feel to my family and friends who have done so much and reassured me that they will continue to be there. In the brutal moments when I am overtaken by the void, when the months and years stretch out in front of me endless and empty, only their faces pull me out of the isolation and fear. My appreciation for them knows no bounds.”

My family and friends have been and continue to be amazing and I could not have made it through these 30 days without them. Thank you to my little brother for driving 3 hours to stay with me that first night. Blessings to my sweet friend Rebecca for bringing me coffee and something to eat the next day and staying with me until my parents arrived.  And to my parents who dropped everything to spend the next several days with me; helping me cope, comforting me – even oddly at times, making sure I ate and helping me care for my dogs. I don’t know what I would have done without you. And to my sisters and brother who sent their love, stopped their lives, traveled from near and far to come and celebrate Mason’s life  – Thank You – that meant so much. And to my step-daughters and grandchildren who have all sent love, checked in on me and helped me plan the celebration of Mason ~ I will forever love you like my own. To so many friends and colleagues at work and in life who reached out via text, email, phone, Facebook and through cards and letters to remind me of happy stories of Mason and tell me about the positive impact he had had on their lives, it has helped me smile and meant more than I can ever express and I truly appreciate your ongoing love and support.

I couldn’t really imagine one day without Mason, he was my best friend, my champion, my confidant and my companion for my entire adult life. I shared everything with him and no one in the world knew me better or more intimately. During these 30 horrible days, this is the part of my broken life that brings me to tears, the loss of my other half, the keeper of my stories, the shared jokes, the little things that made us happy everyday.  A hug and a kiss at the end of a tough day, a “don’t let the bastards get you down” when life got hard, a reminder to look at a beautiful sunset, a chuckle and a point at something silly our puppies were doing or a belly laugh at something funny Tony Kornheiser said on PTI.  It is all irretrievably lost and I am sure I will feel that loss forever.

“In three words I can sum up everything I’ve learned about life:   it goes on.”  Robert Frost

I loved him so very much and I know he loved me unconditionally and with everything he had and I was so fortunate to have 30 amazing years with him. My life will never be the same, but I also know he would want me to be happy, to make him proud and to go on and live a good and fulfilling life. And for him and for me I will live that life.  I will count my blessings everyday, I will take care of myself and my family and friends the very best that I can, I will smile at that sunset and think of him, I will find ways to laugh and find joy and I will take every opportunity to tell those that I love and care about how much they mean to me.

If I have gained any wisdom through this loss, it is to always love with all your heart even if it might break one day, because it was so worth it.

 

 

 

What Keeps You Together?

I will have more to say on the subject of love and loss soon, but in the mean time I wanted to re-share one of my husbands favorite stories on Random and Rhyme.

Random & Rhyme

Carmen-de-Lavallade-and-Geoffrey-Holder Geoffrey Holder and Carmen de Lavallade (Picture from http://discoverblackheritage.com)

I was filled with both sadness and happiness while listening to the story of Geoffrey Holder and Carmen de Lavallade with Elizabeth Blair on NPR this week and hearing about their 59 years of love, partnership and marriage. You might remember him from the Roger Moore, James Bond days playing the villain in “Live and Let Die” or 80’s 7UP commercials and she has been a dancer for most of her life, dancing with Alvin Ailey, the Metropolitan Opera and on Broadway.

Mr. Holder passed away earlier this month on October 5th. He was 84 years old. Ms. de Lavallade spoke to Ms. Blair about going on with the show, she has a one-woman event at the Kennedy Center called “As I Remember It” where she is dancing and reminiscing about her life and a little bit about…

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Self Criticism and Some Instructions on Life

I just re-read this one and I needed that little kick to get myself going again! Plus an update, I did release a copy of Bird-by-Bird in the Portland, Oregon area awhile ago; I hope someone found it and is enjoying the read.

Random & Rhyme

I recently started reading Anne Lamott’s, Bird by Bird: Some Instructions on Writing and Life and coincidentally one of my favorite blogs, BrainPickings posted an article, The Definitive Manifesto for Handling Haters: Anne Lamott on Priorities and How We Keep Ourselves Small by People-Pleasing. The article calls out items from the book and some commentary from Ms. Lamott’s Facebook page.

What makes Anne Lamott’s Bird by Bird: Some Instructions on Writing and Life (public library) so timelessly rewarding and one of the greatest books on writing of all time is that besides her wisdom on the craft, Lamott extends enormous sensitivity to and consolation for the general pathologies of the human condition — our insecurities, our social anxieties, our inner turmoils. Among her most powerful and memorable meditations in the book is that on how our perfectionism kills the creative spirit — something she revisited recently in a short…

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Health Care Cost Rant

Another health care cost rant. I wrote late last year about the high cost associated with a hospital stay and this is another high cost situation that really ticks me off.

Since the issue that put my husband in the hospital was a bad drug interaction between an anticoagulant and a heart regulating drug, he had to be taken off the heart drug and be put on an old-fashioned anticoagulant – Warfrin. This requires frequent blood tests and regular visits to a clinic which is a pain in the butt in and of its self, but the part that really makes me crazy is the bill for it.

The test takes place in what amounts to a small office with a desk, a computer, 3 chairs and a tiny tray of test items and takes a total of about 5 minutes, for the use of this room they charge our insurance $195.13 – you gotta be frickin kidding me!  $195.13 for the room only, the technicians time and the test are a separate line item. Our total co-insurance cost is: $25.04 and our insurance company actually pays them $141.86. So a $232.67 bill gets adjusted down to $176.90. $176.90 for a 5 minute test that involves pricking his finger, seeing where is anticoagulation level is and giving him his pill schedule for the next two weeks. So conservatively, they turn that room over 10 times in an hour or let’s even say 5 times in an hour, that is nearly $750/hour for that room or easily $7,500/day for a 10′ x 10′ room alone. For 4 days in ICU they say the bill was about $15,000 “retail” or about $3,600/day and that is a room with tons of equipment that is 4 times the size and a bathroom.

Ok, my rant for the day, but still don’t these things seem out of whack? Or am I wrong?

“Follow the pencil!”…today’s historic Paris unity march

Nous sommes tous Charlie! We are all Charlie.
Thank you for a great article Caitlin!

Broadside

By Caitlin Kelly

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They came in wheelchairs and on crutches.

They came carried in baby slings.

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They came — like Richard Smith, former editor of the British Medical Association Journal who I randomly met this morning at the cafe at St. Pancras Station as we were both about to board the 8:19 Eurostar to Paris — from other countries to show their solidarity. He decided, last-minute and spur of the moment, he had to cross the Channel to lend his support in person.

They came in six-inch stilettos and black leather trousers, teens to seniors, a river of humanity that started flooding across the city by 1pm heading to Place de la Republique.

I am Charlie, I am Arab but not Muslim, I am Jewish, I'm a cop, I'm North African...I am Charlie, I am Arab but not Muslim, I am Jewish, I’m a cop, I’m North African…

I joined them today — although to say that I marched would be inaccurate. There were far too many…

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The Lack of Assurance with Insurance

A recent NPR story about a couple, Jennifer and Jeffrey Hopper from Austin, Texas, who ended up in an emergency room after Jeffrey was hit in the eye with a baseball got my blood boiling again about our experience last year when my husband became ill we went to a hospital emergency room to seek treatment.

In the story, Jennifer tried to do what was best for her husband’s health and their families pocket-book at a very stressful moment;

“Even in that moment of panic, Jennifer Hopper realized that there are rules when it comes to using health insurance that can hugely influence the size of the medical bill. Care providers who are “in network,” she knew, cost much less, so she made absolutely sure to drive Jeffrey to the emergency room of a hospital in Austin that is part of their insurance network.

That sounds straightforward, but, as the couple soon learned, it doesn’t always work out that way — some patients still get slapped with big bills, even when they try to play by the rules.”

It is kind of hard to play by the rules, when no one wants to tell you what the rules of the game are at any given moment. The night my husband was wheeled by ambulance into the emergency room(that arrived after I did by-the-way) he was met by one doctor that went off shift shortly after our arrival, then another doctor took over, then another doctor evaluated if he should be admitted to the hospital and then yet another doctor did the actual review and hospital admittance. He then was finally assigned to the hospitalist on-duty once he was admitted to the hospital. He then went on to have care by multiple kidney specialist, pulmonologists, a substitute cardiologist(his was on vacation as it was the holidays) and on the second day he was assigned to a hospitalist doctor that luckily was the one constant during much of the remainder of his stay.

But, just like the Hoppers, I wasn’t going to stop care and check to see if these doctors were in our insurance network, I wanted them to save his life and get him well and I would figure out the bills later. Or, so I thought. Like Jennifer we had a few surprises along the way;

“Jennifer, however, was surprised by what happened next. After she’d already settled with the hospital, paying the copayments for the ER, the ER doctor sent the couple a separate bill for more than $700.”

“It felt kind of random,” she says. “How do I know who’s going to charge me, and who’s not going to?””

We started receiving bills right after we got my husband home from his 8 day stint in the hospital, with four of those days in ICU. Some of the bills were for doctors I don’t even remember, some of the doctors bills came with the hospitals bill, and then the lab test and X-rays came from yet other providers with separate bills. Then there are the “itemized statements,” I use this term loosely, from the insurance company outlining what they have been billed, what they adjusted on the bill(no information on when and why they do that), what they paid and the amount of the bill that is our responsibility. I would try to match the insurance statements up with the actual bills we received from the providers and very little matched or added up. It was really chaotic jumble of numbers, dates and information.

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Last years stack of documents, with more in 2014

It is nearly a year later, and we just finally got the billing straightened out for the ambulance ride. The provider double billed and the insurance company mistakenly double paid. Then the insurance company tried to get us to pay them back for the double payment, not the service provider who received both payments. I feel like we should bill them for the time we spent trying to get that straightened out.

And despite informing the four, yes at least four, billing people who visited my husband’s room and got copies of our insurance and billing information that my husband does not have Medicare Part B insurance because he is still working and has insurance coverage through his work; some providers still billed Medicare Part B. Six month after his hospital stay we start getting bills from doctors because of non-payment by Medicare. Seriously, it was crazy.

Overall, the care seemed to be very good and people were very kind and helpful with the exception of one very annoying nurse and he is home and doing better.  The whole event if I went by the “retail” or “sticker price” was over $75,000. Now, I can’t tell you the exact amount the insurance company actually paid, but of the just shy of $65,000 bill from the hospital alone(on the insurance statement is says this includes; rooms, ICU, lab work, pharmacy, ER, respiratory, radiology, etc), they adjusted off $41,000 and paid roughly $23,000.  With all of the different bills we received and had to pay I am guessing our out-of-pocket cost was in the $2,000 – 3,000 range and that is a bargain considering what it could have been. But that is the scary part too, $75,000 worth of health care and it is very difficult for the consumer to account for it other than our loved one healed and came home or in some cases received lot’s of end of life care and the person passes away and the family is left in sadness and major medical debt. I think I read somewhere the that majority of bankruptcy filings are due to medical debt.

Maybe that is why we continue to put up with this system that seems so broken, because we are just so happy our loved ones came home or were at least taken care of well until the end no matter the cost.

Do you have a pro or con health care story that you would like to share?

 

What Keeps You Together?

Carmen-de-Lavallade-and-Geoffrey-Holder

Geoffrey Holder and Carmen de Lavallade (Picture from http://discoverblackheritage.com)

I was filled with both sadness and happiness while listening to the story of Geoffrey Holder and Carmen de Lavallade with Elizabeth Blair on NPR this week and hearing about their 59 years of love, partnership and marriage. You might remember him from the Roger Moore, James Bond days playing the villain in “Live and Let Die” or 80’s 7UP commercials and she has been a dancer for most of her life, dancing with Alvin Ailey, the Metropolitan Opera and on Broadway.

Mr. Holder passed away earlier this month on October 5th. He was 84 years old. Ms. de Lavallade spoke to Ms. Blair about going on with the show, she has a one-woman event at the Kennedy Center called “As I Remember It” where she is dancing and reminiscing about her life and a little bit about her life with her love. I was really touched by this quote from the story;

“De Lavallade says she wasn’t counting the years they were married, but she’s pretty clear on why they stayed together for so long.”

He allowed me to be myself,” she says. “He was my champion, he was my biggest fan, and I was the same way with him.

The story had me reflecting, as I approach my 25th wedding anniversary early next month, on what has kept me and my husband together and what I love about my him in no particular order;

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  • He always let’s me win – just kidding – we know when to compromise
  • We never go to bed angry
  • He tells me I’m pretty, even when I am feeling anything but pretty
  • I cook the food and he cleans the kitchen or vis-a-versa (I usually cook) – we share the responsibilities around the house
  • We enjoy a lot of the same things – travel, food, reading, etc
  • But we don’t enjoy all the same things – and that’s ok – having our own interests keeps it interesting
  • I can talk him into things he thinks he won’t like – and then he does like them – our sweet puppies are top of that list – 3 years to talk him into one, now he can hardly stand to be away from them
  • We allow for each others bad habits – his for leather jackets(sorry to my vegan readers) and mine for bed linens – we both have enough for two lifetimes.
  • I know he has my back and I know I have his back
  • We make each other laugh
  • He drives and I navigate – it works – we get where we need to be in our car and usually in our life.
  • We love each other no matter what!

Have you been married or with your significant other for a long time – what are your secrets to marriage longevity?

What Keeps You Going?

My husband just turned 77 this month and he is still working full time, my 75 year old step-father still works at various money making ventures including his profession as a Chiropractor and my 86 year old grandfather, who officially retired more than 20 years ago, still works harder than most people I know even with his daily catnap. I have spoken to my husband several times over the last couple of years about whether or not he has any desire to retire yet and he continues to tell me “No, not yet.”  What keeps them going when all three of them could sit back, not work and “enjoy” their lives? Or is it the “keeping going” that “keeps them going?”

I know, for my husband, he definitely doesn’t want to sit at home and wait for me to get home from work. He doesn’t have a bunch of hobbies that he participates in or really too many regular friends around where we live now so I think work is his hobby and where his social interactions and friendships take place. With my step-dad and my grandfather they just both have always been busy with work, friends, fishing, chores, golf and other activities that keep them active and engaged.

I was inspired by a recent New York Times Magazine article “Old Masters at the Top of Their Game” with interviews by Camille Sweeney who spoke to several of the 70 and 80 plus active artists, writers, business people and one supreme court judge about why they are still working;

I loved this comment from Frederick Wiseman the filmmaker who is 84 about being in  denial about his age and how useful that is to him;

“Early on, did you ever think you’d still be making movies at your age?
I didn’t think about it at all. I have a hard time recognizing that I’m 84, almost 85. I’m in complete denial, which I think is extremely useful. Of course from time to time I allow myself to be aware of it, but it’s not something that I dwell on. I like working. I work very intensely.”

The amazing Justice Ruth Bader Ginsburg who is 81 had this response when asked about what has been the most surprising thing about her 80’s;

Nothing surprised me. But I’ve learned two things. One is to seek ever more the joys of being alive, because who knows how much longer I will be living? At my age, one must take things day by day. I have been asked again and again, “How long are you going to stay there?” I make that decision year by year. The minute I sense I am beginning to slip, I will go. There’s a sense that time is precious and you should enjoy and thrive in what you’re doing to the hilt. I appreciate that I have had as long as I have. . . . It’s a sense reminiscent of the poem ‘‘Gather ye rosebuds while ye may.’’”

And this one, from the wonderful actor Christopher Plummer who is 84 and the oldest actor to win an Academy Award, when asked what besides staying in shape past a certain age is important;

“…..so is doing the work. It uplifts you. The idea that you’re doing what you love. It’s very important. It’s very sad that most people in the world are not happy with their lot or with their jobs and they can’t wait to retire. And when they retire, it’s like death. . . . They sit at home and watch the television. And that is death. I think you’ve got to continue. We never retire. We shouldn’t retire. Not in our profession. There’s no such thing. We want to drop dead onstage. That would be a nice theatrical way to go.”

And this answer, from the great architect Frank Gehry who is 85, about what has changed the most for him about his work since turning 80 made me laugh out loud;

Buildings take seven years from the time you’re hired until you’re finished. There’s always that pause in my mind now when we get a new project. And then I think about it for a few minutes, and I say: ‘‘Ah, screw it! Full speed ahead.’’”

I love it, “Screw it, Full speed ahead” that is what life should be – get out there, do it and don’t let anything deter you from doing what you love, having fun and creating things.

Another recent article in the New York Times by Bruce Grierson “What if Age is Nothing But a Mind-Set?  got me thinking about some similar territory. The story looked at the work of Harvard Professor Ellen Langer, who has done dozens upon dozens of studies about how the mind affects the body, including idea’s about how it feels and heals. A study that she conducted in the early 80’s, the Counterclockwise study, looked to reverse some of the effects aging was having on a group of generally healthy 70 something men;

“…eight men in their 70s stepped out of a van in front of a converted monastery in New Hampshire. They shuffled forward, a few of them arthritically stooped, a couple with canes. Then they passed through the door and entered a time warp. Perry Como crooned on a vintage radio. Ed Sullivan welcomed guests on a black-and-white TV. Everything inside — including the books on the shelves and the magazines lying around — were designed to conjure 1959. This was to be the men’s home for five days as they participated in a radical experiment…”

They were asked to “inhabit their younger selves” during the stay, to make a psychological attempt to be the persons they were two decades earlier and they were treated like they were younger with expectations for taking care of things for themselves. They were tested on several things prior to the study and then again after the study;

“At the end of their stay, the men were tested again. On several measures, they outperformed a control group that came earlier to the monastery but didn’t imagine themselves back into the skin of their younger selves, though they were encouraged to reminisce. They were suppler, showed greater manual dexterity and sat taller — just as Langer had guessed. Perhaps most improbable, their sight improved. Independent judges said they looked younger. The experimental subjects, Langer told me, had “put their mind in an earlier time,” and their bodies went along for the ride.””

The study has been “replicated” for reality T.V. purposes a few times, including “The Young Ones,” a BBC documentary that sought to recreate the experiment (Professor Langer was a consultant) with six aging former celebrities and showed similar results as the study.

The power of positive thinking or positive psychology or the placebo effect have all been shown to help many people live better, but this experiment with some hotel house keepers was even more interesting;

“A few years earlier, Langer and one of her students, Alia Crum, conducted a study, published in the journal Psychological Science, involving 84 hotel chambermaids. The maids had mostly reported that they didn’t get much exercise in a typical week. The researchers primed the experimental group to think differently about their work by informing them that cleaning rooms was fairly serious exercise — as much if not more than the surgeon general recommends. Once their expectations were shifted, those maids lost weight, relative to a control group (and also improved on other measures like body mass index and hip-to-waist ratio). All other factors were held constant. The only difference was the change in mind-set.

Critics hunted for other explanations — statistical errors or subtle behavior changes in the weight-loss group that Langer hadn’t accounted for. Otherwise the outcome seemed to defy physics. “To which I would say, ‘There’s no discipline that is complete,’ ” Langer responds. “If current-day physics can’t explain these things, maybe there are changes that need to be made in physics.””

The housekeepers were primed to think differently about their work and it seems to have had a pretty powerful effect on them.  I have not read the study to understand the full details, but now I want to know more. I love this stuff when it is used to help people be better and do better, but I also hate it when it’s used by advertisers to manipulate me into buying something and I know that does happen all the time.

The article also taught me a new word, “nocebo” and it’s described as the opposite of placebo, as in “the placebo effect”;

“The nocebo effect is the flip side of the more positive placebo effect, and she says that one of the most pernicious nocebo effects can occur when a patient is informed by her doctor that she is ill. The diagnosis itself, Langer says, primes the symptoms the patient expects to feel. “You change a word here or there, and you get vastly different results,””

This definitely hit me, but more from the aspect of how my environment effects me. I work in, at times, a very negative place; customers are negative about my very existence (I’m a public servant), most of the interactions with people are about negative things and complaints and my co-workers tend to be very, very negative about work and this I believe is influencing how I look at and respond to the world. I think I am generally a positive person with an attitude that almost anything can be fixed, relationship repaired, error corrected and people taught; but some days I find that everything I think and many of the things I say are negative and in direct contrast to that positive attitude.  And I really notice it once I get home and away from the workplace; I recognize how I was speaking or reacting to a situation that normally would not get me upset.

I will have to work up my own experiment to conduct in my workplace to see if I can turn the tide of negativity with some positive psychology or maybe a placebo Prozac for everyone in the building.

I will leave you with a lovely quote from the “Old Masters at the Top of Their Game” article from naturalist and writer T.H. White;

““You may grow old and trembling in your anatomies, you may lie awake at night listening to the disorder of your veins, you may miss your only love, you may see the world about you devastated by evil lunatics, or know your honour trampled in the sewers of baser minds. There is only one thing for it then — to learn. Learn why the world wags and what wags it. That is the only thing which the mind can never exhaust, never alienate, never be tortured by, never fear or distrust, and never dream of regretting.””

What keeps you going?

 

Mind on Fire

Sleep won’t come and my mind’s on fire.

Each mistake replayed and everything feels dire.

A worry for every assignment, a worry for every chore.

They make me question my own judgment,

and it’s exasperating me to the core.

Avoid caffeine and let things go,

some Namaste and still my restless mind is my foe.

Make a list and count those sheep,

still the morning comes with very little sleep.

My problems are small I say again and again,

still they wash over me like an unwanted friend.

I search for balance and a simple life,

but still I stress and am full of strife.

Pick a path and make it mine,

but which one, I don’t want “just fine”.

Up all night and I am beginning to tire.

Still sleep won’t come cause my mind’s on fire.

Is Karma in Charge of Your Future?

Money  I’m sure most of you have heard the rumblings and rage over the comments of Microsoft chief executive, Satya Nadella, when he was asked by an attendee at a women in tech conference, the Grace Hopper Celebration of Women in Computing, about how to ask for a raise, when he replied;

 “It’s not really about asking for the raise, but knowing and having faith that the system will actually give you the right raises as you go along.” 

He went on to imply that it is not good “karma” to ask for a raise. Ok, now I am going to rage for a moment; seriously a CEO of a major corporation is talking about letting karma and the system determine a woman’s future. I am sure that is exactly how he has handled his rise to the top.

That’s good karma. It will come back. That’s the kind of person that I want to trust, that I want to give more responsibility to.”

Hell yes he wants to give more responsibility to those that don’t ask for raises, he can pile more work on them and not have to pay for it. Isn’t that just good CEO economics; getting more, for less and adding to the shareholders value. He has since been backtracking fast and furiously from that statement, but you know the truth now about how he really views his team, no matter how much spin his PR people put on it.

In one of my very early blog posts here at Random and Rhyme I wrote about “Money” and some of my ups and downs with it, but in it I also commented about women and negotiations an excerpt below;

“I read the Get Rich Slowly Blog to keep me focused on paying off those debts and building that emergency fund. But there was an article recently on the site that caught my attention; also about women and money, Money Mythbuster: Women Don’t Negotiate by staff writer April Dykman. She writes about her experience with trying to negotiate and the results she ended up with, as well as provides some links to studies about women and men and their salary disparity. Particularly disturbing was the negative effect on a woman who negotiates her starting salary vs a man who does.”

““If a woman negotiates her starting salary, the employer might hold it against her. According to a 2006 study, when a woman negotiates her salary, both men and women are less likely to want to work with or hire her. The negative effect was more than 5.5 times greater for women who negotiated than for men.””

I learned in my early twenties that I needed to negotiate my starting salary, if for no other reason than, because it affects what you make in the long run. I also know I have lost out on at least one position because of my professional request for a better starting salary. But you know what? Not getting that job, where I wasn’t going to be valued led me to finding a better position, in a better organization and at an even better salary. So keep asking ladies because no one is going to pay you what your worth unless you assert and value yourself. And the organizations or companies that do not value a smart, assertive, contributor who professionally asks to be paid commensurate with what value she is bringing to the organization are going to suffer because they are afraid or too intimidated to hire the person that will likely help them the most.

Do you negotiate your salary or anything else like vacation time or just a better price on that couch you’re buying?